Advance Directives and Surrogate Decision Making in Health Care: United States, Germany and Japan

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"The objective of this transnational, transdisciplinary study was not to predict the future. Much less was it to determine which culture has the best legal, public policy, and ethical systems. Rather, it was to understand the systems--their similarities and differences--and their implications for shaping the public policies that will shape the legal and medical world to come."--from the introduction

Advance directives to determine the care of terminally ill patients have revolutionized health care decision ...

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Overview

"The objective of this transnational, transdisciplinary study was not to predict the future. Much less was it to determine which culture has the best legal, public policy, and ethical systems. Rather, it was to understand the systems--their similarities and differences--and their implications for shaping the public policies that will shape the legal and medical world to come."--from the introduction

Advance directives to determine the care of terminally ill patients have revolutionized health care decision making. But writing a directive that accomplishes exactly what a patient wants can be a difficult process and can be ethically controversial. While Americans, deeply immersed in Western liberal political philosophy, have an intuitive attraction to advance directives, other cultures do not. In this volume, an international team of experts examines the controversy surrounding advance directives in three countries: the United States, Germany, and Japan. Within each section, the subjects are addressed from the points of view of clinicians, legal experts, and bioethicists. The authors find that the United States and Japan are at opposite ends of a spectrum of opinion regarding patient autonomy, whereas Germany falls somewhere between.

The book contains no figures.

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Editorial Reviews

Booknews
Presents three perspectives each from the US, Japan, and Germany on the role and the validity of advance medical directives. Contributors, comprising clinicians, legal experts, and bioethicists, review the respective debate in the author's country, providing different and often contrasting accounts of the role that advance care documents and the role of patient autonomy play in the clinical settings of each country. Annotation c. by Book News, Inc., Portland, Or.
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Product Details

  • ISBN-13: 9780801858314
  • Publisher: Johns Hopkins University Press
  • Publication date: 9/30/1998
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 311
  • Product dimensions: 6.16 (w) x 9.17 (h) x 1.10 (d)

Meet the Author

Hans-Martin Sass is professor of philosophy at Georgetown University. Robert M. Veatch is professor of medical ethics and the director of the Kennedy Institute of Ethics at Georgetown University. Rihito Kimura is professor of bioethics and law at Georgetown University.

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Table of Contents

List of Contributors
Introduction
Pt. 1 United States
1 A Care Provider Perspective on Advance Directives and Surrogate Decision Making for Incompetent Adults in the United States 3
2 Legal Issues in Decision Making for Incompetent Patients: Advance Directives and Surrogate Decision Making 34
3 Ethical Dimensions of Advance Directives and Surrogate Decision Making in the United States 66
Pt. 2 Germany
4 Clinical Perspectives on Advance Directives and Surrogate Decision Making 95
5 The Decision to Aid Dying and Related Legal Issues: Advance Directives and Durable Powers of Attorney under German Law 114
6 Images of Killing and Letting-Die, of Self-determination and Beneficence: The Ethical Debate on Advance Directives and Surrogate Decision Making in Germany 136
Pt. 3 Japan
7 Advance Directives and the Japanese Ethos 175
8 Death, Dying, and Advance Directives in Japan: Sociocultural and Legal Points of View 187
9 A Differing Perspective on Advance Directives 209
App Model Forms of Medical Directives and Advance Care Directives 223
Bibliography 279
Index 303
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